Provider Demographics
NPI:1457378812
Name:GOINS-CRANK, TONI ANNETTE (DDS, MS)
Entity type:Individual
Prefix:DR
First Name:TONI
Middle Name:ANNETTE
Last Name:GOINS-CRANK
Suffix:
Gender:F
Credentials:DDS, MS
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:472 REDWOOD FOREST DR
Mailing Address - Street 2:
Mailing Address - City:BALLWIN
Mailing Address - State:MO
Mailing Address - Zip Code:63021-5756
Mailing Address - Country:US
Mailing Address - Phone:314-821-2400
Mailing Address - Fax:314-821-2288
Practice Address - Street 1:439 S KIRKWOOD RD
Practice Address - Street 2:STE. 205
Practice Address - City:KIRKWOOD
Practice Address - State:MO
Practice Address - Zip Code:63122-6169
Practice Address - Country:US
Practice Address - Phone:314-821-2400
Practice Address - Fax:314-821-2288
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MODE-0151941223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics